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责任制护理在脑炎小儿中的应用及对患儿治疗依从性的影响

作者:李 鸽

所属单位:河南省洛阳市妇女儿童医疗保健中心儿内科 (河南 洛阳 471000)

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摘要

目的 探讨责任制护理在脑炎小儿中的应用及对其治疗依从性的影响。方法 选取2015年1月-2016年12月间我院收治 的124例脑炎患儿为受试对象,按照入院顺序随机分为责任组与对照组各62例。对照组患儿实施常规护理干预,责 任组患儿则在其基础上实施责任制护理干预。比较干预3d后,两组患儿治疗依从性、症状消退时间、住院时间差 异。结果 干预3d后,责任组患儿治疗有效率及依从率均明显高于对照组(P均<0.05)。责任组各症状消退时间及住 院时间均短于对照组(P均<0.05)。结论 责任制护理可有效提高脑炎患儿治疗依从性,且护理干预后治疗及预后效 果均较为理想。

Objective To explore the application of accountability nursing in children with encephalitis and its effects on treatment compliance. Methods A total of 124 children patients with encephalitis admitted to our hospital from January 2015 to December 2016 were selected for the study and randomly divided into accountability group and control group according to the order of admission, with 62 cases in each group. Control group was given routine nursing intervention, and accountability group was given accountability nursing intervention on this basis. After 3 d of intervention, the treatment compliance, symptoms regression times and hospital stay were compared between the two groups. Results After 3 d of intervention, the effective rate and compliance rate of treatment in accountability group were significantly higher than those in control group (all P<0.05). Th symptoms regression times and hospital stay in accountability group were shorter than those in control group (all P<0.05). Conclusion Accountability nursing can effectively improve the treatment compliance of children patients with encephalitis, and it has ideal treatment effects and prognosis effects after nursing intervention.

【关键词】责任制护理;小儿脑炎;依从性

【中图分类号】R473.72;R725.1

【文献标识码】A

【DOI】10.3969/j.issn.1009-3257.2019.01.007

前言

由于脑炎患儿常表现出发热、意识障碍、头痛、 呕吐、惊厥等症状,多数家长缺乏照护经验而难于应 对,患儿不适、恐惧与抗拒感剧增,因而实施相应的 临床护理干预对提升患儿治疗依从性及治疗效果尤为 重要。责任制护理旨在提供全方位的定制护理服务, 已在妇科、肿瘤外科、心血管内科等其他领域得到广 泛应用[1]。对此,本研究对脑炎患儿实施责任制护理 干预,取得一定成果,现报道如下。月间我院收治的124例脑炎患儿为受试对象,按照 入院顺序随机分为责任组与对照组各62例。其中责 任组男性41例,女性21例;年龄为1~10岁,平均 (4.8±2.6)岁;病毒性脑炎49例,细菌性脑炎13例。 对照组男性39例,女性23例;年龄为1~9岁,平均 (5.2±3.1)岁;病毒性脑炎51例,细菌性脑炎11例。 两组一般资料比较均无统计学意义(P均>0.05),具 有可比性。   1.1.2 纳入标准:①符合小儿脑炎相关诊断标准 者[2];②年龄为1~10岁者。   1.1.3 排除标准:①诊断为寄生虫性小儿脑炎 者;②合并先天性遗传疾病者。